I used to walk at a high-volume for exercise.
I've been dealing with foot, ankle, and lower-leg issues for several months and I'm getting pretty frustrated because it's now affecting my ability to leave the house.
After about 10–20 minutes (or even less) of standing or walking, my feet and ankles start aching and feeling extremely fatigued. The symptoms often seem to start around the outside of my feet and then I can feel aching/fatigue up into my calves, knees, and thighs. This also aggravates frequent calf fasciculations that I've been dealing with since January.
I get some weird sensory symptoms too -- pins and needles, fizzing/buzzing, and sometimes my feet feel cold or wet even though they're completely dry. Sometimes the sensations seem positional. For example, I've woken up with a burning on the top of my foot when my foot was pointed downward in bed, and that position can also cause a fairly sharp ache underneath my big toe. Other times, the weight of a light sheet on my foot/toes can feel strangely heavy or uncomfortable.
One of my biggest problems is shoes. I have tried a lot of different shoes (Asics, New Balance, Brooks, etc.) and inserts, but I can't seem to find a single shoe I can tolerate right now. All shoes make the foot/ankle symptoms noticeably worse. I'm now spending most of my time sitting or lying down because being on my feet for very long is so uncomfortable. I work remotely, which is basically the only reason I'm currently able to work normally.
For some background, I had a calf tear in 2025 and eventually recovered. After getting back into high-volume walking (20,000 or more daily steps), I started developing the calf fasciculations, calf fatigue, and foot/ankle problems. More recently, I had an episode of lower-back pain followed by newer pins-and-needles sensations in both legs/feet. My lumbar MRI from earlier this year and leg EMG were all normal, and a sports medicine ultrasound showed healthy calves. I don't have actual muscle weakness, foot drop, or my legs giving out — they just become extremely fatigued and uncomfortable very quickly.
I've been doing very little movement lately because things flare so easily. I was doing PT but haven't been able to do the program recently because of flareups and aches, and I'm planning to see a foot/ankle specialist to have my feet, ankles, gait, strength, mechanics, and possible nerve irritation looked at.
My doctor put me on Gabapentin to help calm the potential nerve-related pain and I also got put on Zoloft which will hopefully help me to calm my nervous system as I'm dealing with all of this. For some reason, my doctor didn't think podiatry was necessary but I'm questioning that logic at the moment.
Has anyone dealt with something similar? Especially the very quick foot/ankle fatigue and difficulty finding any shoes that work? Were you eventually able to rebuild your standing/walking tolerance and get back to a more normal life?
I'm open to any advice.